Can Upper Blepharoplasty Help Get Rid Of My Puffy

Q: Dr. Eppley, when it comes to my eye area i suffer from extremely ” big “/ puffy and swollen upper eyelids which have gotten even ” bulkier” since my usage of oral minoxidil ( a medication which cause water retention that i can’t unfortunately stop) So I would like to know if there is a way to actually reduce the size of my upper eyelid in itself especially if i’m still using medication that cause water retention or with people suffering from congenitally ” bulkier” upper eyelid than average 

That’s a question I’ve had in mind for quite some time now and I would to have an answer from a skilled surgeon like you. Most surgeons in my country when it comes to an enlarged upper eyelid due to water retention / allergy or congenitally bigger than the norm seem to work by skirting the issue using upper eyelid fillers or fat graft but won’t touch to the upper eyelid in itself. 

Here is a picture (which is not of my eyes but with a problem similar to mine when it comes to upper eyelid minus the droopy upper eyelid skin ) to illustrate my case. 

A: Thank you for your inquiry and sending your picture. The use of fillers or fat grafting to the upper eyelid would be counterproductive in terms of decreasing the upper eyelid above the level of the crease. Your assumption is correct in that a surgical procedure is needed which may consist of fat, muscle and skin removal based on what the preoperative exam shows.

Dr. Barry Eppley

Indianapolis, Indiana